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1912775875
STACEY LYNN CHALLE
WACONIA, MN
NPI
1912775875
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: MN 11118)
Enumeration Date
2023-12-19
Last Update Date
2023-12-19
Business Address
Ms. STACEY LYNN CHALLE AGNP-C
560 S MAPLE ST STE 100
WACONIA, MN 55387-1753
Phone number: 952-442-6006
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Mailing Address
Ms. STACEY LYNN CHALLE AGNP-C
560 S MAPLE ST STE 100
WACONIA, MN 55387-1753
Phone number: 952-442-6006
Copy
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